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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
4
Name/ 2 Mailing address p— .A'umber, sin,c�t, rrtN, nnrl .State �� /� /ZIP code �lfel. No.
Owner or �c,'ff��>� ✓ ��t�� .��� �L�X l£+ F/T6�/7�� J� f'�1'f �� 1Ah, (.-���.7: 7 6�`'�''�J .
Lessee
Builder's
License No.
Contractor , L-
3.
Architect or m --
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address �y Application date
00 NOT WRITE ELOW THIS LINE v
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B Notes
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued 19 Z
Building /,,!� LIj
Permit Fee
Certificate of Occupancy S
Approved by:
Drain Tile �a
Plan Review Fee
TITLE
Cf its of Nort4autpton
Anseadptsetts
Office of theIns}rectox ofuilDittgs
APPLICATION FOR
ZONING PERMIT AND
Page T.` Plot BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
ZONING
I• AT (LOCATION) 7-0 le-
�,/' �� �S�T� DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN �/ / 119AAt S /? AND
BUILDING (CROSS STREET) / (CROSS STREET)
/ LOT C/ -1 /� � J�
SUBDIVISION LOT � BLOCK SIZE , ' /T' '/S c
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D :00
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
Addition(If residential, enter number 12�One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --)� 20❑ Industrial \\)
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — --� 22 ❑ Service station, repair garage
enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 dPrivate (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
�r
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g.,food
y processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,••,,,••...... `0Of-) school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV. y
Q
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS _ m
48. Number of stories............... fi
30❑Masonry (wall bearing) 40 ❑ Public or private company
31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ...................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43� Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 1"
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
52. Outdoors........................
35 71 Gas Will there be central air
36�Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45 KNo 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 No bathrooms Partial........
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hereby certify that the proposed 'work is authorized by-the .owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (Cl TY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
ZO
._ clhTY OF NORTHAMPTON BUILDING jo
NORTHAMPTON, MA. 01060 34-5 PERMIT LIDATION
DATE June $, 19 78 P RMIT NO. 213
APPLICANT Richard A. florid ADDRESS Turkey Hill Rd.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Addition '110 ReSld1 (_,.]_k STORY Residence DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
Turkey Hill Road _ o STR cT
(NO. )(STREET)
a BETWEEN West Farms Road AND
10 (CROSS STREET) (CROSS STREET)
LOT 4.2 Acres
0. SUBDIVISION LOT BLOCK SIZE
m
a
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
M
2 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Addition to Bldg. Permit #113 issued 6-10-75 --
AREA ESTIMATED COST $ 3,0 00 FEE MIT 10.00
VOLUME E
(CUBIC/SQUARE FEET)
OWNER Richard A. Bond BUI ING T. �AY
ADDRESS P.O. Box 86, Easthampton. Ma. By
(Affidavit on reverse side of application to be completed by autho ' agent of owner)